26D2202738 CLIA NUMBER - MEDICINE SHOPPE

Laboratory Demographics

  • CLIA Code: 26D2202738
  • Facility Name: MEDICINE SHOPPE
  • Facility Address: 635 S STURGEON
    MONTGOMERY CITY, MO
    ZIP 63361
  • Facility Phone: 573 564-1111
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MELANIE J. OEHLER
  • NPI Number: 1326150327
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2202738
LAB Type Pharmacy
Facility Name MEDICINE SHOPPE
Street 635 S STURGEON
City MONTGOMERY CITY
State MO
ZIP 63361
Phone 573 564-1111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/1/2024
Certificate Expiration Date 11/30/2026
Facility Type Pharmacy
Lab Director MELANIE J. OEHLER

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This page was last updated on: 9/29/2025